14/06/2014
Nil s***m | no s***m | Azoos***mia homeopathic treatment
Azoos***mia [nil s***m count ] is called when there is no s***m in semen. This type of semen disorder is found in approximately 3% of infertile men i.e. absent s***m. You should know that te**is has two separate functions
(i) Production of normal s***ms in semen which needed for pregnancy & normal fertility.
(ii) The other function of te**is is production of male hormones i.e. testosterone & others. So in most patients with nil s***ms though semen has absent s***ms still production of male hormones remains normal.
How s***ms develop: When boy becomes of 14 years of age then L.H. & F.S.H. hormone secretion from pituitary increases.
Causes of Nil S***ms:
The various causes of nil s***m are as follows :
Hormone disorder : The various endocrine (Hormone) disorder leading to azoos***mia are as follows
(1) Hormone deficiency of pituitary gland as L.H., F.S.H., Prolactin, thyroids hormone, hypothalmic deficiency of GnRH, Pituitary gland failure, Hypopituitarism, Idiopathic hypopituitarism, Kallman syndrome, Isolated hypogonadotropic hypogonadism, Drugs, toxins, Idiopathic hypogonadotropic hypogonadism & due to many more causes.
(2) Obstruction in the outflow of semen (S***ms) from te**is to outside through urethral opening. Many times the production of s***ms in te**is is absolutely normal but these s***m are unable to come out due to obstruction in the out flow tract leading to absent s***ms in the semen. The various causes of obstruction are absent vas deferens, absent seminal vesicle, posttraumatic, post surgical ligation of vas deferens.
(3) Absence of germ cells in te**is also called sertoli cell only syndrome. In this there are no germs cells i.e. s***m forming cells in the te**is. For you knowledge,
(4) Maturation Arrest (. S***matid arrest): of primary s***matocytes to secondary s***matocyte, s***matids or to mature s***matozoa. Due to may local, systemic, hormonal growth factor deficiency or due to idiopathic factor. The various paracrine hormones and growth factors are essential for normal development i.e. maturation of one germ cells to multiplication of ultimately production of multiple mature, normal & motile s***ms. Many other factor as infection, varicocele, drugs, chemotherapy may also lead to maturation arrest. The other causes may by developmentally defective germs cells & s***matocyte. So that they did not have inherent capacity of developing into a mature & motile s***ms.
4) Testicular disorders (primary leydig cell dysfunction), Chromosomal (Klinefelter syndrome and variants, XX male gonadal dysgenesis),
5) Varicocele (Grade 3 or more severe): A varicocele is a varicose vein in the cord that connects to the testicle. 6) Drugs (e.g. spironolactone, alcohol, ketoconazole, cyclophosphamide, estrogen administration, sulfasalazine)
7) Presence of Antis***m antibody. These Antis***m antibodies bind with s***ms & either make them less motile, totally immotile or even dead which is called necros***mia
Trauma
9) Environmental toxins
10) Viral orchits
11) Granulomatous disease as tuberculosis, sarcoidosis of the te**is
12) Defects associated with systemic diseases, Liver diseases, Renal failure, Sickle cell disease, Celiac disease
13) Neurological disease as myotonic dystrophy
14) Development and structural defects, Germinal cell aplasia, sertoli cell only syndrome, Cypt-orchidism
15) Androgen resistance
16) Mycoplasma infection
17) Cystic fibrosis patients often have missing or obstructed vas deferens (the tubes that carry s***m) and hence a low s***m count.
18) Klinefelter syndrome patients carry two X and one Y chromosomes (the norm is one X and one Y), which leads to the destruction of the lining of the s***m forming germ cell in the te**is.
Diagnosis of Cause of Nil S***m Count :
we first try to find out cause. We take detailed history, thorough drug history, and general physical examination, examination of te**is, epididymis & testicular veins & s***m carrying duct examinations. . The time taken in getting all the reports ready is 36 hours. So if you are from out of Delhi, you may come here for two days.
Investigation & Diagnosis: For completes diagnosis of causes of azoos***mia (nil s***ms) one or more of the following tests may be required as:
1) Complete male hormone profile: This profile includes all the male hormone tests which affect testicular development, growth & other ge***al organ development as well as ge***al functions. L.H., F.S.H., Testosterone, prolactins, thyroids test,
2) Antis***m antibody
3) USG or Doppler study of sc***um & te**is
4) Semen culture sensitivity
5) Semen fructose
6) Fine Needle Testicular Biopsy of the te**is to look for evidence of s***matogenesis & testicular structure.
Human S***m-Zona Pellucida Binding Ratio
9) Human S***m-Zona Pellucida Pentration test
10) Genetic Studies
11) FNAC Te**is
12) Egg pe*******on test
13) Molecular genetic studies done in some special cases
14) Chromosome analysis i.e. Karyotype (chromosome analysis)
15) Assessment of androgen receptor
16) Combined Pituitary hormone tests is performed when needed
17) Immunobead test
18) MRI head, Hemogram, test for systemic diseases.
19) Olfactory test is done to find out kallman's syndrome
At our center facility for all the above tests are available.
Other Cause for Azoos***mia[nil s***m count ] :
Pus in Semen
Pus cells in semen may be due to infection into genito-urinary tract due to any of the following causes:
1.) Chlamydia infection
Chlamydia is a common infection of genitourinary tract all over world. It's a bacterial infection. The infection with bacteria decreases s***m count motility & fertilizing capacity of s***ms. Complication of this can be epididymitis, and inflammation in the sc***um that may leave the man sterile.
2) Gonorrhea (Gonococcal Urethritis)
It is caused by the bacterium Nesseria gonorrhoea.
Symptoms include pus in semen. The infection with bacteria decreases s***m count motility & fertilizing capacity of s***ms. Complication of this can be epididymitis, and inflammation in the sc***um that may leave the man sterile.
3) Non-Specific urethritis or NSU (Non-gonococcal Urethritis): It is caused by any of the following causative agent Chlamydia trachomatis, Ureaplasma urelyticum, Mycoplasma ge***alium ,Candioda species, Anaerobes, Trichomonas vaginalis,, Unidentified / idiopathic. Some times it may be Persistent/recurrent non-gonococcal urethritis or Prolonged urethritis.
4) Candidal Balanitis (Thrush) is a fungal infection.
5) Prostatitis( Acute or Chronic)
Diagnostic tests
Urine may show threads or ‘beads of pus' positive leycocyte esterase test.
Gram Stain
Culture
Molecular identification
Methelyne blue stain
Antigen detection techniques
Poly merase chain reaction
Trichomonas vaginalis
Fungi detection test
Herpes simplex virus antibodies
Anti-S***m Antibody
In some male's, antibody production starts against its own s***ms. These antis***m antibodies may then enter the te**is & seminal fluid and ‘attack' the s***ms & s***m forming cells. These antis***m antibodies stick the s***ms with each other and thus tend to seriously reduce s***m motility, thereby causing infertility. By the use of various treatments, the amount of antibodies may be reduced and fertility restored.
Antis***m antibodies have been found to be present in up to 40% of couples with unexplained infertility, and in 10% of unexplained male infertility. Infertility in a couple can occur if the woman's cervical mucus provides a hostile environment by producing antibodies to her partner's s***m. More often, the problem is due to the male partner producing antibodies against his own s***m. Unilateral or bilateral obstruction of the ge***al tract (either conge***al or acquired), epididymitis and varicocele are also sometimes associated with an autoimmune response against s***matozoa.
Absent Ej*******on
Absent Ej*******on Or**sm
Absent ej*******on in which patient does not gets or**sm & semen discharge even after prolong s*xual activity
3. Delayed ej*******on: In this disorder or**sm & semen discharge occurs after abnormally prolonged s*xual activity.
4. Retrograde ej*******on: In which patient gets or**sm at normal time but semen in place of coming out through pe**le opening goes into bladder.
(4) Absent Ej*******on or Or**sm: There are certain conditions in which patient does not get or**sm even after prolonged s*xual activity. the cause of this can be primary, Psychogenic or due to certain medication, neurological diseases, surgeries etc. Treatment needs diagnosis of cause & then treatment.
· Blood Tests: In women, blood tests are commonly used to detect the antibody.
· Post-Coital Test: The post-coital test can detect the presence of antis***m antibodies in a woman's cervical mucus.
· S***m Testing: In men, s***m testing is the best way to analyze for antis***m antibodies. The immunobead assay and the mixed agglutination reaction test are both used.
Homeopathy Treatment :
Correction of the Cause: First of all we try to find out the primary cause of nil s***ms by above mentioned investigations. Then we correct the basic defect i.e. correction of hormone disorder & other defects. We also give following treatment for permanent cure of low s***m count & motility disorder.
1) Correction of Hormone deficiencies: Once the hormone disorder is found then it is corrected by any of the below medicines. Usually s***m count normalizes in three month time with proper hormone treatment.
More Informations :
Dr Harshad Raval MD [Homeopathy]
Honorary consultant homeopathy physician to his Excellency Govern.of Gujarat India.
Qualified MD consultant homeopath Physician,
Member of nominee advisory committee (Govt. of Gujarat).
International Homeopathy Advisor, Book writer and Columnist For Gujarat Samachar, ADDRESS:16,floor,white-House| Ellishbridge | Ahmedabad | Gujarat | India
Web site : www.homeopathyonline.in Blog's site: www.homeopathyonline.in Email us to info@homeopathyonline.in Web site : http://www.oligos***miatreatment.com/
